Donation Request Form

Submitting this form does not guarantee pickup. Our staff will contact you directly to confirm your donation and pickup availability. If you have any issues submitting your donation request, please email Kent@llhfh.org directly.

Your Name(s) (required)

Address (required)

Zipcode (required)

Phone(required)

Email(required)

Attach a Picture(required)

Attach 2nd Picture

Please describe the item(s) you'd like to donate